Provider Demographics
NPI:1992108112
Name:HOROWITZ, JULIA SARAH (LCSW, MHSA)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:SARAH
Last Name:HOROWITZ
Suffix:
Gender:F
Credentials:LCSW, MHSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 DOCK RD
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06854-4717
Mailing Address - Country:US
Mailing Address - Phone:203-856-2860
Mailing Address - Fax:
Practice Address - Street 1:18 DOCK RD
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06854-4717
Practice Address - Country:US
Practice Address - Phone:203-856-2860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-01
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0047931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical